Mcalester, OK

Mitchell Care & Rehab Center

5-star overall rating with 4-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

315 West Electric Avenue, Mcalester, OK

(918) 423-4661

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

100

Certified beds

Average residents

57

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Mgm Healthcare

Operator or chain grouping

Approved since

2007-09-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

30 facilities

Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.43

Registered nurse staffing · state 0.34 · national 0.68

LPN hours / resident day

0.91

Licensed practical nurse staffing · state 0.92 · national 0.87

Aide hours / resident day

2.91

Nurse aide staffing · state 2.57 · national 2.35

Total nurse hours

4.25

All reported nurse hours · state 3.84 · national 3.89

Licensed hours

1.33

RN + LPN hours · state 1.27 · national 1.54

Weekend hours

3.76

Weekend nurse staffing · state 3.49 · national 3.43

Weekend RN hours

0.22

Weekend registered nurse coverage · state 0.29 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.03 · national 0.07

Adjusted RN hours

0.48

CMS adjusted RN staffing hours

Adjusted total hours

4.75

CMS adjusted total nurse staffing hours

Case-mix index

1.22

Higher values indicate more complex resident acuity

RN turnover

89%

Annual RN turnover · state 55% · national 45%

Total nurse turnover

62%

Annual nurse turnover · state 56% · national 46%

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.24%	10.72% 0.5 pts worse	No Different than the National Rate · Eligible stays 48 · Observed rate 12.5% · Lower 95% interval 7.35%
Discharge to community	50.47%	50.57% 0.1 pts worse	No Different than the National Rate · Eligible stays 33 · Observed rate 42.42% · Lower 95% interval 35.48%
Medicare spending per beneficiary	1.2	1.02 0.2 pts worse
Drug regimen review with follow-up	95.45%	95.27% 0.2 pts better	Numerator 21 · Denominator 22
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 22
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 22 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 24 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	2.7%	8.2% 5.5 pts worse	Numerator 2 · Denominator 74
Staff flu vaccination coverage	30.51%	42% 11.5 pts worse	Numerator 36 · Denominator 118
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	3.6	2.3 1.3 pts worse	1.9 1.7 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.6 · Observed 2.6 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	3.5	2.9 0.6 pts worse	1.8 1.7 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.5 · Observed 3.0 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	97.5%	90.3% 7.2 pts better	93.4% 4.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 96.1% · Q3 98.0% · Q4 96.1% · 4Q avg 97.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	94.6% 5.4 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	1.5%	4.5% 3 pts better	3.3% 1.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 2.0% · Q3 0.0% · Q4 2.0% · 4Q avg 1.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	16.7%	3.3% 13.4 pts worse	11.4% 5.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 4.4% · Q3 22.7% · Q4 33.3% · 4Q avg 16.7%
Percentage of long-stay residents who lose too much weight	0.6%	3.6% 3 pts better	5.4% 4.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.4% · Q4 0.0% · 4Q avg 0.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	37.0%	25.3% 11.7 pts worse	19.6% 17.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 38.6% · Q3 39.5% · Q4 36.4% · 4Q avg 37.0%
Percentage of long-stay residents who received an antipsychotic medication	6.3%	18.6% 12.3 pts better	16.7% 10.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 6.9% · Q3 12.5% · Q4 3.2% · 4Q avg 6.3% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	4.0%	15.5% 11.5 pts better	16.3% 12.3 pts better	Long Stay · 2024Q4-2025Q3 · Q4 0.0% · 4Q avg 4.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	3.0%	14.1% 11.1 pts better	14.9% 11.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.3% · Q3 2.4% · Q4 4.7% · 4Q avg 3.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	2.1% 2.1 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	2.8% 2.8 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	19.3%	17.8% 1.5 pts worse	19.8% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 25.3% · Q2 21.7% · Q3 18.9% · Q4 11.2% · 4Q avg 19.3%
Percentage of long-stay residents with pressure ulcers	1.4%	5.1% 3.7 pts better	5.1% 3.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.0% · Q3 1.9% · Q4 1.7% · 4Q avg 1.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	95.4%	75.0% 20.4 pts better	81.7% 13.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 86.0% · 4Q avg 95.4%
Percentage of short-stay residents who had an outpatient emergency department visit	26.3%	17.1% 9.2 pts worse	12.0% 14.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 26.3% · Observed 27.3% · Expected 11.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.9% 1.9 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	84.4%	74.0% 10.4 pts better	79.7% 4.7 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 84.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	8.7%	27.0% 18.3 pts better	23.9% 15.2 pts better	Short Stay · 20240701-20250630 · Adjusted 8.7% · Observed 9.1% · Expected 24.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-27 · Fire 2025-03-27

4 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2023-11-30 · Fire 2023-11-30

10 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-07-13 · Fire 2022-07-13

1 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-27

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2025-04-10

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-03-27

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2025-05-07

D · Potential for more than minimal harm 2025-03-27

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2025-05-07

D · Potential for more than minimal harm 2025-03-27

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-05-07

D · Potential for more than minimal harm 2025-03-27

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-07

E · Potential for more than minimal harm 2025-01-16

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-02-12

D · Potential for more than minimal harm 2024-11-05

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-11-20

D · Potential for more than minimal harm 2024-11-05

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-11-20

D · Potential for more than minimal harm 2024-11-05

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-11-20

E · Potential for more than minimal harm 2024-07-23